| NPI | 1417468547 |
|---|---|
| Former Name | ROSA BREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005504) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1902) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2024-05-15 |